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BMJ Case Rep. 2019 Jun 8;12(6). pii: e229507. doi: 10.1136/bcr-2019-229507.

Dyspnoea and constipation: rare case of large bowel obstruction secondary to an incarcerated Morgagni hernia.

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Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia.


Incarcerated diaphragmatic hernias are often challenging to diagnose. 1 Patients often present with non-specific abdominal symptoms, and barring an imaging modality that confirms herniation of intra-abdominal contents, there is no investigation sensitive or specific enough to identify it. It is a rare cause of mechanical bowel obstruction that clinicians should be aware of. This report describes a case of an 81-year-old man who presented to the emergency department with ongoing dyspnoea and constipation secondary to a partial large bowel obstruction due to an incarcerated Morgagni hernia. This case highlights the non-specific symptoms of this condition that often leads to a delayed diagnosis and aims to increase the awareness among clinicians.


general surgery; primary care

[Indexed for MEDLINE]

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